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' Total Fee: $ -=� ��� J� Date Received: <br /> Entered By: .' �;�� /_/"> >�;; � x; �,' ;>; -- Permit#: �--,t' L:?� % I '� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plecrse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � � =� C�� }����t � �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and Ciry Counci!app�•ova! <br /> 60 days prior•to the event. Shuttle ba�s se�vice tivill be reqerired a�nless applicant demonstr�ates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: I��� �� ��� ��=� � �/ PHONE: (home) <br /> � (work) <br /> MAILING ADDRESS: ��f�-C D r���-� : CITY: �l� �c� ZIP: <br /> CONTRACTOR: �v���.--,C �-i-t�. t � PHONE: (��� —��o - �►�l,o <br /> CONTACT PERSON: '�' MOBILE/PAGER: <br /> MAILING ADDRESS: f 7�° ����-• �t - CITY: f�1�tf. ZIP: � � <br /> STATE LICENSE: # �o�1 8c 8 � EXPIRATION DATE: �%7!/� � <br /> ARCffiTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) > <br /> Any earth movement may require MCWD review and permits ! . <br /> PROPOSED WORK(desc��ibe in detai�: i34 �'L�✓;,�.-..-, R-r..�o d t � /V c :.-- �:X�4�r, <br /> V�Z �"i �7�' ` IL / I°`�-� t <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> � � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � /� d �� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and�vork is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> � r��,.__ L� �-�-e� - G' � <br /> APPLICANT'S SIGNATURE: �/ DATE: <br /> 31 <br />